Week 6 (Clinical Reasoning and Treatment Planning)

Question 1

Clinical Reasoning

1. Observation: identify gross limitations from static and dynamic observation

Answer 1

• Atypical posture (static observation)
• Restricted motion (dynamic observation)
• Instability (dynamic observation)

Question 2

Clinical Reasoning

2. ROM testing

Answer 2

AROM testing: full, non-painful or restricted painful

PROM testing: compare to AROM and consider 2JM contributions

Question 3

Clinical Reasoning

3. Contractile vs non-contractile

Answer 3

IMT: can confirm or rule out contractile tissue pain source
PAM testing: confirm or rule out non-contractile tissue pain source, identify joint restrictions as the source of movement restriction

Question 4

Clinical Reasoning

4. Weakness and coordination

Answer 4

Use FSPB skills to determine involvement of muscle weakness or poor movement coordination as impairment

Question 5

Clinical Reasoning

5. Palpation

Answer 5

Use palpation to further support diagnosis and rule-out other differential diagnoses

Question 6

What does SMART stand for?

Answer 6

Specific
Measurable
Achievable
Relevant
Time bound

Question 7

Treatment Planning

Answer 7

• Establish patient goals
• Identify relevance
• Prioritise problems
• Identify appropriate and available treatment modalities
• Negotiate plan with patient

Question 8

Education and Advice

What to educate a patient about?

Answer 8

Their diagnosis
Likely prognosis
Treatment options
Self-management
Prevention